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Organization

INGLESIDE DENTAL ASSOICATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER JACKSON ROBERSON D.M.D. (OWNER)
(478) 743-3441
Entity
Organization

Contact information

Practice address
2440 INGLESIDE AVE, MACON, GA 31204-2088
(478) 743-3441
(478) 743-1542
Mailing address
2440 INGLESIDE AVE, MACON, GA 31204-2088
(478) 743-3441
(478) 743-1542

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0200082
GA

Other

Enumeration date
02/28/2007
Last updated
08/22/2020
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